The nurse is completing the admission assessment on a client who ...

[CORALGRILL2014]

The nurse is completing the admission assessment on a client who has obstructive sleep apnea. Which findings would be probable in this client?
 
  1. Reddened uvula.
  2. Large soft palate.
  3. Obesity.
  4. Short neck.
  5. Deviated septum.

Question 2

The nurse is working on a hospital committee tasked with reducing environmental distractions to sleep within the hospital. Which recommendations by the committee would be helpful? (Select all that apply.)
 
  1. Turn off all overhead lights on the unit and use night-lights and flashlights.
  2. Establish a time at which radios and televisions should be turned off or down.
  3. Discontinue use of the paging system after 2100.
  4. Conduct nursing reports in the hallway.
  5. Open curtains between beds in semiprivate rooms.

[Joy Chen]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Clients with obstructive sleep apnea are likely to have a reddened uvula.
Rationale 2: Clients with obstructive sleep apnea are likely to have an enlarged soft palate.
Rationale 3: Clients with obstructive sleep apnea are likely to be obese.
Rationale 4: A large, thick neck (over 17.5 inches) is more likely to be problematic than is a short neck.
Rationale 5: Deviated septum is an unlikely cause of obstructive sleep apnea.

Answer to Question 2

Correct Answer: 2,3
Rationale: Establishing a time at which radios and televisions should be turned off or down will reduce the amount of disturbance to clients. Discontinuing use of the paging system at 2100 will also reduce noise. It is not possible to turn off all overhead lights and use only night-lights and flashlights, but those lights that can be eliminated should be. Nursing reports should be conducted in an area away from the client beds. Closing the curtains between beds in semiprivate rooms will also decrease disturbance.

[CORALGRILL2014]

Gracias!

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TYSM